REPUBLIC OF THE PHILIPPINES)

(CITY OF BUTUAN)

OMNIBUS SWORN CERTIFICATION

I, BERNARD DIAZ OTERO, Filipino, 26 years old, single and a resident of P-5
Silad,Mahogany, Butuan City, Agusan del Norte, Philippines, after having been duly sworn to in
accordance with law, depose and state.
1. That I am a qualified Senior High School Teacher applicant at Banza National High
School, Butuan City, Agusan del Norte.
2. That I am executing this Omnibus Sworn Certification to assure authenticity and
veracity of all documents submitted, to wit:
a) Letter of intent;
b) CSC Form 212 (Revised 2005) in two copies with the latest 2x2 ID pictures;
c) Certified photocopies of Certificate of Board Passer, Good Standing, and Ratings
obtained in the LET;
d) Certified photocopy of Certificate of Eligibility in Career Service Professional;
e) Certified photocopy of National Certificate III in Visual Graphics Design;
f) Certified copy of Transcript of Records (TOR);
g) Certified photocopy of Diploma on Bachelors Degree and Certificate Program;
h) Certified photocopy of Service Record (Certificate of Employment)
i) Certified copy of the Voters ID or any proof of residency as deemed acceptable by the
School Screening Committee
j) NBI Clearance;
k) Certified photocopy of Certificates of relevant specialized trainings.

3. That I assume full responsibility and accountability on the validity and authenticity of
all the documents submitted and I understand that any violation will automatically disqualify me
from the selection process.
4. That I am executing this Omnibus Sworn Certification to at least the veracity of the
foregoing facts and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 26th day of
February, 2016 at Butuan City, Philippines.
BERNARD DIAZ OTERO
Affiant
SUBSCRIBED AND SWORN TO before me this 26th day of February, 2016 at Butuan City,
Philippines.

REPUBLIC OF THE PHILIPPINES)

(CITY OF BUTUAN)

OMNIBUS SWORN CERTIFICATION

I, BERNARD DIAZ OTERO, Filipino, 26 years old, single and a resident of P-5
Silad,Mahogany, Butuan City, Agusan del Norte, Philippines, after having been duly sworn to in
accordance with law, depose and state.
1. That I am a qualified Teacher 1 applicant at Banza National High School, Butuan City,
Agusan del Norte.
2. That I am executing this Omnibus Sworn Certification to assure authenticity and
veracity of all documents submitted, to wit:
a) Letter of intent;
b) CSC Form 212 (Revised 2005) in two copies with the latest 2x2 ID pictures;
c) Certified photocopies of Certificate of Board Passer, Good Standing, and Ratings
obtained in the LET;
d) Certified photocopy of Certificate of Eligibility in Career Service Professional;
e) Certified photocopy of National Certificate III in Visual Graphics Design;
f) Certified copy of Transcript of Records (TOR);
g) Certified photocopy of Diploma on Bachelors Degree and Certificate Program;
h) Certified photocopy of Service Record (Certificate of Employment)
i) Certified copy of the Voters ID or any proof of residency as deemed acceptable by the
School Screening Committee
j) NBI Clearance;
k) Certified photocopy of Certificates of relevant specialized trainings.

3. That I assume full responsibility and accountability on the validity and authenticity of
all the documents submitted and I understand that any violation will automatically disqualify me
from the selection process.
4. That I am executing this Omnibus Sworn Certification to at least the veracity of the
foregoing facts and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 26th day of
February, 2016 at Butuan City, Philippines.
BERNARD DIAZ OTERO
Affiant
SUBSCRIBED AND SWORN TO before me this 26th day of February, 2016 at Butuan City,
Philippines.

REPUBLIC OF THE PHILIPPINES)

(CITY OF BUTUAN)

OMNIBUS SWORN CERTIFICATION

I, BERNARD DIAZ OTERO, Filipino, 26 years old, single and a resident of P-5
Silad,Mahogany, Butuan City, Agusan del Norte, Philippines, after having been duly sworn to in
accordance with law, depose and state.
1. That I am a qualified Senior High School Teacher applicant at Butuan City School of
Arts and Trades, Butuan City, Agusan del Norte.
2. That I am executing this Omnibus Sworn Certification to assure authenticity and
veracity of all documents submitted, to wit:
a) Letter of intent;
b) CSC Form 212 (Revised 2005) in two copies with the latest 2x2 ID pictures;
c) Certified photocopies of Certificate of Board Passer, Good Standing, and Ratings
obtained in the LET;
d) Certified photocopy of Certificate of Eligibility in Career Service Professional;
e) Certified photocopy of National Certificate III in Visual Graphics Design;
f) Certified copy of Transcript of Records (TOR);
g) Certified photocopy of Diploma on Bachelors Degree and Certificate Program;
h) Certified photocopy of Service Record (Certificate of Employment)
i) Certified copy of the Voters ID or any proof of residency as deemed acceptable by the
School Screening Committee
j) NBI Clearance;
k) Certified photocopy of Certificates of relevant specialized trainings.
3. That I assume full responsibility and accountability on the validity and
authenticity of all the documents submitted and I understand that any violation will automatically
disqualify me from the selection process.
4. That I am executing this Omnibus Sworn Certification to at least the veracity of the
foregoing facts and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 26th day of
February, 2016 at Butuan City, Philippines.

BERNARD DIAZ OTERO

Affiant
SUBSCRIBED AND SWORN TO before me this 26th day of February, 2016 at Butuan City,
Philippines.

REPUBLIC OF THE PHILIPPINES)

(CITY OF BUTUAN)

OMNIBUS SWORN CERTIFICATION

I, BERNARD DIAZ OTERO, Filipino, 26 years old, single and a resident of P-5
Silad,Mahogany, Butuan City, Agusan del Norte, Philippines, after having been duly sworn to in
accordance with law, depose and state.
1. That I am a qualified Teacher 1 applicant at Butuan City School of Arts and Trades,
Butuan City, Agusan del Norte.
2. That I am executing this Omnibus Sworn Certification to assure authenticity and
veracity of all documents submitted, to wit:
l)

Letter of intent;

m) CSC Form 212 (Revised 2005) in two copies with the latest 2x2 ID pictures;
n) Certified photocopies of Certificate of Board Passer, Good Standing, and Ratings
obtained in the LET;
o) Certified photocopy of Certificate of Eligibility in Career Service Professional;
p) Certified photocopy of National Certificate III in Visual Graphics Design;
q) Certified copy of Transcript of Records (TOR);
r) Certified photocopy of Diploma on Bachelors Degree and Certificate Program;
s) Certified photocopy of Service Record (Certificate of Employment)
t) Certified copy of the Voters ID or any proof of residency as deemed acceptable by the
School Screening Committee
u) NBI Clearance;
v) Certified photocopy of Certificates of relevant specialized trainings.
3. That I assume full responsibility and accountability on the validity and
authenticity of all the documents submitted and I understand that any violation will automatically
disqualify me from the selection process.
4. That I am executing this Omnibus Sworn Certification to at least the veracity of the
foregoing facts and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 26th day of
February, 2016 at Butuan City, Philippines.

BERNARD DIAZ OTERO

Affiant
SUBSCRIBED AND SWORN TO before me this 26th day of February, 2016 at Butuan City,
Philippines.